In response to recent confusion:
How can you tell the difference between Ultrasound Gel (used for ultrasound machines) and Electrode Gel (used for defibrillation)?
Answers after the break!
54M with h/o HTN, DM, Tobacco and Focal Segmental Glomerulosclerosis presents with neck mass. He looks dyspneic and uncomfortable at triage and has an obvious mass above his left clavicle to the degree that his head is tilted a bit to the right. Concerned, the triage RN defers the EKG and A-Side attending consult and rolls the patient into your formerly mellow cardiac room shift. Although overall he looks gaunt, his face is swollen and dark colored (“facial plethora”). You go through your IV/O2/Monitor/ABCDEFGHIJKLMNOPQRST and then grab the ultrasound machine.
After turning on the machine, you obtain the following images of the left neck.
Without Compression
With Compression
What do you think the patient has and whatcha going to do about it?
This 16 year old patient presents to the Emergency Department you have just started at in Menominee Michigan. All of today’s patients have been on their way home this last day of hunting season. You suspect this patient will be more interesting, as she is wearing a PETA shirt and not a shred of orange or leather. Although her chief complaint was nausea and vomiting, her urine pregnancy test was positive, prompting the ultrasound evaluation which revealed this image:
What is your diagnosis and what is the next step for this patient?
Featuring a bold new cover design, the Russian language translation of the Manual of Emergency and Critical Care Ultrasound is now available!
This book marks the third language for the Manual, which was first published by Cambridge University Press in 2007. The book’s concise focus and many illustrations and images have made it quite popular with physicians worldwide, and additional translations are planned for the future.
We are very pleased to announce that Dr. Jim Tsung has joined the Mount Sinai faculty and ultrasound division!
Dr. Tsung is a recognized leader in pediatric emergency ultrasound. He has lectured and given workshops on point-of-care pediatric ultrasound nationally and internationally. He has authored several papers on point-of-care ultrasound use during pediatric resucitation and other ultrasound topics related to pediatric emergency care.
He is a former co-investigator for the Pediatric Emergency Care Applied Research Network (PECARN) on studies related to bronchiolitis, head trauma and health disparities. He has served as the inaugural chair of the Pediatric Committee of the ACEP Ultrasound Section and led the first ever point-of-care ultrasound workshop at the Pediatric Academic Societies annual meeting. He is also the chair of the Pediatric Committee for WINFOCUS and Section Editor for the newly created Critical Ultrasound Journal on point-of-care ultrasound.
